HomeMy WebLinkAboutDrain Layers Permit 192 Robert Drive TOWN OF SOUTH WINDSOR INSPECTION REPORT
Permit No 7440 Contractor VIOLETTE SILVESTER & SONS
Location ;; > & t Address 65 CHERRY STREET
Type Work NEW -SA' LAT EAST HARTFORD CT 06108
No. (860 )289-3466
Date Insp Ne
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Town of South Windsor, CT
Permi„t,�No. 7440 Drain Layer Permit
Permit `Date 06/04/2002
Expiration Date 07/04/2002
Qescr i p: CK 194 $17.,r12-CK--29404 $25.00
Location
Applicant
r, ROBERT DRIVE
Name VIOLETTE SILVESTER & R NE KAREN
Addr. 65 CHERRY STREET
EAST HARTFORD CT '
Phone No (860)289-3466
The Drain Layer a s s
as 1 'cense issued by the
nd io s set forth in the a
state and hereby agr s with Town of South
�
attached 'Conditions' . r ached conditions.
Windsor standards, al G k
Issued BY
Date Inspected
J
APPLICATION FOR DRAIN LAYER PERMIT
TOWN OF SOUTH WINDSOR
PUBLIC WORKS DEPARTMENT
TOWN HALL
1540 SULLIVAN AVENUE
SOUTH WINDSOR, CT
FEE $25.00
� Location of proposed work: e_f'4 Lot #
Street No. Street Name
Premises owned by: C� �+� I)Pgjc"K�
Name of Firm: i UsSk e-iZ, S Q u Phone:
Address of Firm: (,,,
TYPE OF WORK:
Lay House Drain__; Repair House Drain ;
Lay Main ; Lay Lateral for Commercial/Industrial
Building of acres
4
Connection will be made with
Existing Water Supply: Public Water Well
Proposed Start Estimated time for completion G'6
ALL WORK TO BE IN ACCORDANCE WITH TOWN OF SOUTH WINDSOR STANDARDS,
ALL OSHA REQUIREMENTS AND CONDITIONS ATTACHED TO THE PERMIT
Permit is to be issued to the holder of Drain
Layer's License No. Only holders of P1 or P7 licenses will be
issued a permit. PERMIT WILL EXPIRE THIRTY (30) DAYS AFTER DATE OF
ISSUANCE. The undersigned Drain Layer hereby agrees to all the terms and
conditions set forth in the permit and attached thereto. Applicant has received Town
Street Excavation Permit No. '5�606 '� and/or ConnDOT Permit No.
CBYD No. 000 a O l
Signed: Print Name:
Licensed Drain Layer
Date:
Standard Forms\Permits\APPLICATION FOR DRAIN LAYERS PERMIT.doc
i TOWN OF SOUTH WINDSOR
SANITARY SEWER LATE-RALFIELD LOCATION
DATE OF CONSTRUCTION:
BUILDING ADDRESS QL CIO �Dr.
STREET
SUBDIVISION:
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CONTRACTOR (PRINT) NAME OF CONTRACTORS SUPERVISOR (PRINT)
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STREET ADDRESS I SIGNATURE
E H��rol C+ Q6/09 DATE
TOWN STATE ZIP INSPECTED BY TOWN
060 - d kq qL6 DATE
TELEPHONE NUMBER
WHITE - TOWN PINK - CONTRACTOR YELLOW - CONSULTING ENGINEER / DEVELOPER
TOWN OF SOUTH WIVDSOR INSPECTION REPORT
PROJECT: DEVELOPER:
STREET: CONTRACTOR:
DATE: ' TME:
WEATHER: ,� INSP:
WORK IN PROGRESS:
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AREA OF CONCERN:
SPECIAL INSTRUCTIONS:
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